First Name *

Last Name *

Mobile Number *

Email Address *

Total Attending (in your party) *

Number of Children Attending (age 10 & Under)

What ages are the children?

What days will you be able to attend?

Are you ORDAINED as an Apostle, Prophet, Evangelist, Pastor or Teacher or a head of a ministry?

Name of your ministry

Who/what ministry organization are you ordained under?